| NPI | 1104439835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANCHE MAE BELL Dnp 305-978-4907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family |
| Enumeration Date | 2020-08-24 |
| Last Update Date | 2023-06-12 |